Senior Service Account Manager - Remote in Phoenix, AZ

Company: UnitedHealth Group
Location: Phoenix
Posted on: November 26, 2022

Job Description:

If you are located within commutable distance of 1 East Washington St, Phoenix, AZ, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.SM

Dedicated to only one account, will roll out 1/1/2023. The Senior Service Account Manager will be answering benefits questions related to coverage, assist in coordinating provider appointments, answer claims questions and processing needs, answer plan questions and give guidance on out-of-pocket costs, provider help. The role gives guidance on when to appeal and assist with any escalated issues, ensure that we are responsive within a timely manner depending on circumstances (2-hours urgent; 4-hours escalated; 24-hours standard), track trends and issues to report to collaborating teams. You will monitor group plan performance for eligibility, claims timeliness and accuracy, and provide service recovery on interactions documented as unsatisfactory.

This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am-5:00pm. Our office is located at 1 East Washington St, Phoenix, AZ.

Training over a course, on site for a few days and training for 2 weeks.

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Primary Responsibilities:

• 
  
• Manage overall delivery of benefits and services by providing support and guidance to existing and potential customers to ensure continued membership
  
• Provide expertise and customer service support to members, customers, and/or providers
  
• Identify and resolves operational problems using defined processes, expertise and judgment
  
• Investigate claim and/or customer service issues as identified and communicate resolution to customers
  
  
  You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
  Required Qualifications:
  
  
  • 
    
  • High School Diploma / GED (or higher)
    
  • 2+ years of client account management experience
    
  • 1+ years of claims processing experience
    
  • Ability to obtain Arizona Producer License within 90 days of hire
    
  • Experience using Microsoft Office including Microsoft Word (create correspondence and work within templates), Microsoft Excel (ability to sort, filter, and create simple spreadsheets)
    
  • Ability to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm
    
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation.
    
    
    Preferred Qualifications:
    
    
    • 
      
    • Bachelor's Degree (or higher)
      
    • Bilingual in English and Spanish
      
    • Experience with Dental, and Vision benefits
      
    • Project Management experience
      
    • SharePoint experience (navigating and creating records)
      
    • Experience using UNET, COSMOS, FACETS or NICE claims processing platforms
      
      
      Telecommuting Requirements:
      
      
      • 
        
      • Reside within commutable distance of 1 East Washington St, Phoenix, AZ
        
      • Have a dedicated work area established that is separated from other living areas and provides information privacy
        
      • Ability to keep all company sensitive documents secure (if applicable)
        
      • Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
        
        
        Soft Skills:
        
        
        • 
          
        • Professional writing skills with an emphasis on details and clear, concise, and accurate information
          
          
          UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.
          
          Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at
          
          Learn how Teresa, a Senior Quality Analyst, -works with -military veterans and ensures they receive the best benefits and experience possible. -
          
          Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of healthcare. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.SM
          
          Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
          
          UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
          
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